Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.37 / $84.77 / $202.44	Facility	26	$46.37	$84.77	$202.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.17 / $60.17 / $60.17	Facility	26	$60.17	$60.17	$60.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.41 / $57.33 / $69.55	Professional	26	$46.41	$57.33	$69.55
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $77.00 / $84.77 / $175.05	Facility	26	$77.00	$84.77	$175.05